99236 — Pr Hospital IP/Obs Care Admit/Discharge Same Date High Level
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Hospital IP/Obs Care Admit/Discharge Same Date High Level (CPT 99236) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99236?code_type=CPT
MLA (9th ed.)
“PR Hospital IP/Obs Care Admit/Discharge Same Date High Level (CPT 99236) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99236?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Hospital IP/Obs Care Admit/Discharge Same Date High Level (CPT 99236) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99236?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $208–$737 (25th–75th percentile) across 1,378 hospitals · 3,809 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99236 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$208
$369 typical
$737
The middle 50% of negotiated facility rates for this procedure, measured across 1,378 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $369 |
| Physician fee Estimate national typical Medicare $190 × 1.22 commercial. | $231 |
| Likely subtotal | $601 |
Complete-episode estimate (typical)
~$601
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $753.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $753.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $753.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $753.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| HARDTNER MEDICAL CENTER Both | United Healthcare | Default | — | $525.00 | $105.00 | 2025-01-02 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS IP | $0.03 | $737.00 | $221.10 | 2025-12-16 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS OP | $0.03 | $737.00 | $221.10 | 2025-12-16 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.54 | $450.00 | $337.50 | 2025-03-07 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $5.71 | $686.00 | $445.90 | 2026-05-07 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.14 | $312.00 | $59.28 | 2026-01-25 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | WPS - ALL PLANS | WPS - ALL PLANS | $7.28 | $1,082.69 | $595.48 | 2026-01-19 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $8.95 | $877.00 | $570.05 | 2026-03-14 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.26 | $516.92 | $310.15 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.26 | $516.92 | $310.15 | 2025-08-11 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $10.52 | $1,031.00 | $670.15 | 2026-03-14 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $12.28 | $824.00 | $824.00 | 2026-02-13 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $23.60 | $749.55 | $749.55 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $23.60 | $749.55 | $749.55 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $23.80 | $749.55 | $749.55 | 2025-05-29 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $24.80 | $137.00 | $61.65 | 2026-02-19 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $25.11 | — | — | 2025-12-31 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $25.40 | $127.00 | $57.15 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $25.40 | $127.00 | $57.15 | 2026-02-19 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Amerihealth | BlueCrossCompleteMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Wellcare | MeridianMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSBDHMOPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Aetna | AetnaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | BCBS-MI | BCBSMICommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | United Healthcare | HealthSmartMgdWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Aetna | AetnaExistingBusiness | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | BCBS-MI | BCBSMIMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $26.38 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | BCBS-MI | BCBSMIBCNMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | MidwestMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Community Care | CommunityCareComm | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Mclaren Health Plan | McLarenCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Mclaren Health Plan | McLarenAdvantagePPO | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Mclaren Health Plan | McLarenMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Naphcare Inc. | NaphCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Americas Choice Provider Network | AmericasChoiceProviderNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Multiplan | MultiplanWC | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Zing Health | ZingHealthMedicareNonNarrow | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Mclaren Health Plan | McLarenMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHPICigna | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Longevity Health Plan | LongevityHealthPlan | — | — | — | 2025-01-31 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $26.40 | $749.55 | $749.55 | 2025-05-29 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $27.00 | — | — | 2024-10-01 | MRF ↗ |
| DINI-TOWNSEND HOSPITAL AT NNMH Outpatient | None | — | — | $547.00 | $27.35 | 2026-03-30 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $27.40 | $137.00 | $61.65 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $27.40 | $137.00 | $61.65 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $27.40 | $137.00 | $61.65 | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $27.55 | $498.00 | $298.80 | 2026-01-09 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $27.88 | $901.00 | $486.54 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $27.88 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $27.88 | $901.00 | $486.54 | 2025-10-01 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | IOWA TOTAL CARE-ALL PLANS | IOWA TOTAL CARE-ALL PLANS | $28.10 | $498.00 | $298.80 | 2026-01-09 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $30.00 | — | — | 2024-10-01 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $30.00 | — | — | 2026-02-02 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Muti-Plan | Commercial | $30.00 | $150.00 | $105.00 | 2025-06-30 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Healthsmart | Commercial | $30.00 | $150.00 | $105.00 | 2025-06-30 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $30.48 | $127.00 | $57.15 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $30.48 | $127.00 | $57.15 | 2026-02-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $32.00 | $400.00 | $400.00 | 2026-05-04 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | Meritain | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | CommercialBaseNetwork | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $34.25 | $137.00 | $61.65 | 2026-02-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $34.85 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $34.85 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $34.85 | $901.00 | $261.29 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $34.85 | $901.00 | $486.54 | 2025-10-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $34.87 | — | — | 2026-04-14 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BC BS OF TEXAS | BCBSTX PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | PGBA TRIWEST VA CCN | PGBA TRIWEST VA CCN | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TDCJ-SMITH UNIT - MEDICAL | TDCJ-SMITH UNIT - MEDICAL | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC PFFS | UHC PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | NEW ERA | NEW ERA | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLPOINT-AMERIGROUP PFFS | WELLPOINT PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TDCJ-SMITH UNIT - MEDICAL | TDCJ-SMITH UNIT - TTU HSC | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | OTHER MEDICARE HMO | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TUFTS HEALTH MEDICARE HMO | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HUMANA PFFS | HUMANA PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TODAYS OPTIONS | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CHAMPVA | CHAMPVA | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HARVARD PILGRIM HEALTHCRE | HARVARD PILGRIM HEALTHCAR | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | UNITED HEALTHCARE MEDICAR | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA MEDICARE SUPPLEMENT | AETNA MEDICARE SUPPLEMENT | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MEDICARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TRIWEST | TRIWEST | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | GENERATIONS ADVANTAGE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HEALTH PLANS INC | HEALTH PLANS INC | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VR HEALTH PLANS INC | HEALTH PLANS INC | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TRICARE EAST | TRICARE EAST | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MEDICARE | MEDICARE PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | RAILROAD MEDICARE | RAILROAD MEDICARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | HARVARD PILGRIM MEDICARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLCARE BY ALLWELL | WELLCARE BY ALLWELL | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | AETNA MEDICARE ADV | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | SMART VALUE BLUE (MC HMO) | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | CIGNA MEDICARE ADVANTAGE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMBETTER | AMBETTER | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | US FAMILY HEALTH PLAN | US FAMILY HEALTH PLAN | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VA CCN OPTUM | VA CCN OPTUM | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER MANAGED CARE | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HUMANA CLAIMS CENTER | HUMANA CLAIMS CENTER | $35.00 | $535.00 | $294.25 | 2026-04-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLMED (UHC) | WELLMED (UHC) | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MEDICARE | MEDICARE | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CHAMPVA | CHAMPVA | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CIGNA | CIGNA PFFS | $35.00 | $245.00 | — | 2025-06-09 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.